Healthcare Provider Details

I. General information

NPI: 1750548335
Provider Name (Legal Business Name): HAMO ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2008
Last Update Date: 05/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8840 WARNER AVE STE 201
FOUNTAIN VALLEY CA
92708-3233
US

IV. Provider business mailing address

8840 WARNER AVE STE 201
FOUNTAIN VALLEY CA
92708-3233
US

V. Phone/Fax

Practice location:
  • Phone: 714-398-5982
  • Fax: 714-848-3605
Mailing address:
  • Phone: 714-398-5982
  • Fax: 714-848-3605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC9645
License Number StateCA

VIII. Authorized Official

Name: IN SOO LEE
Title or Position: OWNER
Credential:
Phone: 714-398-5982